| NPI | 1215582549 |
|---|---|
| Former Name | JESSICA MARIE GRUWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CA NP95035002) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NM 57122) |
| 363L00000X Nurse Practitioner (Licence: NM 57122) | |
| Enumeration Date | 2019-08-04 |
| Last Update Date | 2025-08-07 |