NPI | 1073016143 |
---|---|
Former Name | SARAH MARIE GRIMM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG0001137) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG0001137) |
363LF0000X Nurse Practitioner, Family (Licence: MD R205619) | |
Enumeration Date | 2018-03-14 |
Last Update Date | 2022-12-14 |