NPI | 1700482494 |
---|---|
Former Name | KATHERINE GRIFFIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71011168A) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: IN 28226053A) |
Enumeration Date | 2020-12-08 |
Last Update Date | 2021-09-27 |