NPI | 1023289717 |
---|---|
Former Name | KASEY LIN GRIEGO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9230919) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NM CS00216645) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: NM CNP-01753) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9230919) | |
Enumeration Date | 2008-03-20 |
Last Update Date | 2022-05-16 |