NPI | 1457880387 |
---|---|
Former Name | WHITTNEY S GRANDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP10300) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: AZ RN183518) |
Enumeration Date | 2017-06-05 |
Last Update Date | 2018-07-11 |