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 |