NPI | 1053616565 |
---|---|
Other Name | LUISA A. GROVES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ MA07263400) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 37578) |
Enumeration Date | 2011-01-13 |
Last Update Date | 2012-07-17 |