NPI | 1245810811 |
---|---|
Former Name | ANNELIESE GREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1045611) |
Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: TX 892718) |
Enumeration Date | 2021-04-08 |
Last Update Date | 2022-03-22 |