| NPI | 1093767352 |
|---|---|
| Professional Name | GRACE NORTHRUP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R129200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R129200) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2023-10-25 |