NPI | 1154608032 |
---|---|
Former Name | SALLY GRABB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP121051) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 742929) |
Enumeration Date | 2011-11-07 |
Last Update Date | 2023-07-13 |