NPI | 1316576085 |
---|---|
Former Name | KELLY LORRAINE GRIMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 35930) |
Enumeration Date | 2020-04-05 |
Last Update Date | 2021-08-09 |