| NPI | 1619239712 |
|---|---|
| Former Name | ANNA MARIA GRUWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ID NP-1174A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1174A) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2016-07-05 |