NPI | 1619426681 |
---|---|
Former Name | MEREDITH GRADY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3010329) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 30103292) |
363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.019526) | |
Enumeration Date | 2016-09-30 |
Last Update Date | 2018-09-05 |