NPI | 1013052240 |
---|---|
Former Name | ERIN LIZABETH MCGRUDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F3045621) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 304562) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2023-07-06 |