| NPI | 1720422645 |
|---|---|
| Former Name | NATALIE MARIE GROME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 5660) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00473600) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2025-10-23 |