NPI | 1710557152 |
---|---|
Former Name | BAILEY ERIN GRIMMETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OK R0108259) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK R0108259) |
Enumeration Date | 2021-06-28 |
Last Update Date | 2021-08-12 |