NPI | 1356691455 |
---|---|
Former Name | JULIA E GROFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024170295) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001229743) |
Enumeration Date | 2012-09-16 |
Last Update Date | 2017-02-13 |