| NPI | 1346625142 |
|---|---|
| Former Name | REBECCA NICOLE GRISCOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 20483) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 153484) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-11-19 |