| NPI | 1053996397 |
|---|---|
| Former Name | MICHELLE R GRIMSLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164004672) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2007027443) |
| 133V00000X Dietitian, Registered (Licence: IA 096391) | |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-03-17 |