| NPI | 1508198367 |
|---|---|
| Former Name | ABBY L GROTELUESCHEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2010000308) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0992929-NP) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 75101) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0992929-NP) | |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2023-09-25 |