Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 01036100A | IN |
NPI | 1104896323 |
---|---|
Provider Name | Dr. Carolyn O Robinson |
First Address | Carmel, IN 46032 |
Second Address | Carmel, IN 46032-1546 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2006 |
Last Update Date | 05/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100126680A | (05) | IN |