NPI | 1043881956 |
---|---|
Professional Name | TRACIE GRIDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 2020146276) |
Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: VA 0001192036) |
Enumeration Date | 2021-07-02 |
Last Update Date | 2024-10-21 |