NPI | 1467220111 |
---|---|
Former Name | MARIANNA ELIZABETH GRUENFELDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95032293) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 577168) |
Enumeration Date | 2023-12-12 |
Last Update Date | 2024-10-30 |