| NPI | 1801130109 |
|---|---|
| Former Name | JENNY T GRIBBIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00402000) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430665) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |