| NPI | 1316758840 |
|---|---|
| Former Name | MARY ELIZABETH GRISSINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 907041) |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-01-15 |