| NPI | 1710534557 |
|---|---|
| Former Name | GRACE GILLASPIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP142082) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2023012585) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 53-82134-052) | |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2023-08-15 |