NPI | 1184757221 |
---|---|
Other Name | KAREN LEANN GRISSOM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: GA RN191229) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN RN142125) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2008-01-23 |