| NPI | 1609278746 |
|---|---|
| Former Name | TARA MARIE GRINOLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MN R156435-4) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |