| NPI | 1679890651 |
|---|---|
| Former Name | CAROL ANN GROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201405810) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 200140762) |
| 367A00000X Advanced Practice Midwife (Licence: OR 200950018) | |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2020-08-04 |