NPI | 1790936870 |
---|---|
Former Name | TESSA L GROVES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MD R147475) |
Enumeration Date | 2008-10-07 |
Last Update Date | 2010-04-29 |