| NPI | 1629019948 |
|---|---|
| Former Name | MARY ELIZABETH BECK-GRIMM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0002845) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA051984) |
| 363AM0700X Physician Assistant, Medical (Licence: PA MA051984) | |
| 363AS0400X Physician Assistant, Surgical (Licence: PA MA051984) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2023-07-12 |