| NPI | 1184878654 |
|---|---|
| Former Name | SUSAN MARY GRIMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP 18840) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 385018) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2016-04-04 |