| NPI | 1285732198 |
|---|---|
| Other Name | TERESA A GROSVENOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 036-065883) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: IL 036-065883) |
| 208000000X Pediatrics (Licence: IL 036-065883) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-06-25 |