NPI | 1366750895 |
---|---|
Former Name | ELIZABETH A GRENACHE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 063486-23) |
Enumeration Date | 2010-09-17 |
Last Update Date | 2023-01-06 |