NPI | 1033642210 |
---|---|
Former Name | DIRONDA KIONA GROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9248552) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP 9248552) |
Enumeration Date | 2017-04-05 |
Last Update Date | 2019-08-08 |