NPI | 1073891701 |
---|---|
Former Name | EMMALEA ELIZABETH GRIFFITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000015811) |
Enumeration Date | 2011-07-29 |
Last Update Date | 2013-02-21 |