NPI | 1538645957 |
---|---|
Former Name | GRETCHEN MUSGRAVE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 354799) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137862) |
Enumeration Date | 2018-07-18 |
Last Update Date | 2025-03-05 |