NPI | 1275859001 |
---|---|
Former Name | MEGAN N GRIMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71003193A) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 28160778B) |
Enumeration Date | 2010-04-19 |
Last Update Date | 2023-11-27 |