| NPI | 1629806401 |
|---|---|
| Former Name | JILLIAN L GRIEDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201603898RN) |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-10-09 |