NPI | 1295750990 |
---|---|
Former Name | MICHELLE M GRANDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: WA AP30003952) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00092243) |
363L00000X Nurse Practitioner (Licence: WA AP30003952) | |
Enumeration Date | 2006-07-13 |
Last Update Date | 2018-08-29 |