| NPI | 1316116684 |
|---|---|
| Former Name | NINA GRADY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA152466) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2023-04-25 |