| NPI | 1669690210 |
|---|---|
| Former Name | JACQUELINE GRIMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: NC 2014-01261) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 53325) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2024-02-22 |