| NPI | 1811343973 |
|---|---|
| Former Name | CARLEY JEAN GRUBBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 63118) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 63118) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2020-12-04 |