| NPI | 1013097641 |
|---|---|
| Former Name | TERESA O. GRIMMETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3001515) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1066199) |
| 163W00000X Registered Nurse (Licence: IN 28194225A) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2013-07-09 |