| NPI | 1609536440 |
|---|---|
| Former Name | CALYPSO NICOLE GRUBB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61247701) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61247701) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA 61250730) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: WA AP61247701) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WA 61250730) | |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2021-12-29 |