| NPI | 1346633765 |
|---|---|
| Former Name | DIANA MARIE GRILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: OH CNP.022110) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN185111) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2018-01-12 |