NPI | 1619751674 |
---|---|
Former Name | LINDSEY GRIMMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 14283) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 14283) |
Enumeration Date | 2023-08-22 |
Last Update Date | 2023-10-25 |