NPI | 1457799652 |
---|---|
Former Name | LEAH M GRIFFIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R35599) |
Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: MN R190213-6) |
Enumeration Date | 2013-06-10 |
Last Update Date | 2022-04-29 |