| NPI | 1245489939 |
|---|---|
| Former Name | RANDI LEE GRONHOLZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent (Licence: MN R 118654 I) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2021-11-11 |