NPI | 1770681280 |
---|---|
Former Name | ALICE JEAN GRIFFIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 201800) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 201800) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2024-07-29 |