| NPI | 1275558116 |
|---|---|
| Former Name | ALISA A GRUBB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 004121) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 004121) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2013-11-07 |