| NPI | 1326472143 |
|---|---|
| Former Name | MIRIAM MICHELLE GROOMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OH RN147591) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |