| NPI | 1699326595 |
|---|---|
| Former Name | GRACE NICOLE KNOWLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 27104) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 27104) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2025-10-03 |