NPI | 1376146761 |
---|---|
Former Name | ANDREA HUNTER GRIEVE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F351212-01) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1019689) |
363LF0000X Nurse Practitioner, Family (Licence: TX 1019689) | |
Enumeration Date | 2020-11-18 |
Last Update Date | 2023-04-25 |