NPI | 1326338773 |
---|---|
Former Name | ASHLIE ANN GRUBE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MN 5291) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 197213-7) |
363L00000X Nurse Practitioner (Licence: MN 5291) | |
Enumeration Date | 2011-04-19 |
Last Update Date | 2023-12-08 |