NPI | 1013483197 |
---|---|
Former Name | BROOKE ANNE GRISOLIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000972) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 124666) |
Enumeration Date | 2018-10-16 |
Last Update Date | 2023-05-12 |