| NPI | 1306251327 |
|---|---|
| Former Name | ROSA GRAYSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ AP5665) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ TAP5665) |
| 363LF0000X Nurse Practitioner Family (Licence: AZ AP5665) | |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2023-02-23 |