NPI | 1457924961 |
---|---|
Former Name | BONNIE CHRISTINE GRIFFIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 30229) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 30229) |
363LF0000X Nurse Practitioner Family (Licence: MS 905817) | |
Enumeration Date | 2021-07-22 |
Last Update Date | 2024-10-16 |