NPI | 1790734531 |
---|---|
Former Name | CYNTHIA LEE GRIMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704121920) |
Enumeration Date | 2006-05-09 |
Last Update Date | 2012-04-03 |