NPI | 1568772861 |
---|---|
Former Name | MICHELLE MARIE GROVES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00947100) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 655201) |
363LF0000X Nurse Practitioner, Family (Licence: NY F342609) | |
Enumeration Date | 2010-10-20 |
Last Update Date | 2024-05-02 |