NPI | 1427288422 |
---|---|
Former Name | JENNIFER P GRISHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 14281) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: TN 14281) |
Enumeration Date | 2009-07-24 |
Last Update Date | 2025-04-08 |