| NPI | 1700979580 |
|---|---|
| Former Name | REBECCA LEIGH GRIMM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APRN000857) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN33194) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV APRN000857) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2021-06-17 |