| NPI | 1427692573 |
|---|---|
| Former Name | CHRISTINA M GROGG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 105397) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 61825) |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2020-01-28 |