| NPI | 1063497840 |
|---|---|
| Former Name | KAYE M GROSSNICKLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA A063458) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A063458) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2024-12-20 |