| NPI | 1518317544 |
|---|---|
| Former Name | MEGAN LYNN GRACE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP131192) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP131192) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-12-14 |