| NPI | 1528028677 |
|---|---|
| Former Name | DONELLE LYNN GRAMSTAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1942) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MN R172511-9) |
| 363LF0000X Nurse Practitioner Family (Licence: IA 0384015-22) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2022-08-19 |