| NPI | 1043702343 |
|---|---|
| Former Name | DELIA A GROLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018020173) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2011021108) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2022-11-28 |