| NPI | 1215603949 |
|---|---|
| Former Name | ANNA GRACE ZOOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP028738) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5014931) |
| Enumeration Date | 2021-08-22 |
| Last Update Date | 2025-06-19 |