| 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) |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2022-01-05 |