NPI | 1992246649 |
---|---|
Former Name | MEGAN ROBAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9264204) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9264204) |
Enumeration Date | 2017-03-14 |
Last Update Date | 2020-10-25 |