| NPI | 1326392176 |
|---|---|
| Former Name | JESSICA MICHELLE GROELSMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704265681) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2023-12-21 |