NPI | 1447527585 |
---|---|
Former Name | CAROLYN GRABIEL LITTLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704292111) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.12836-NP) |
Enumeration Date | 2011-11-17 |
Last Update Date | 2024-10-31 |