NPI | 1861572414 |
---|---|
Former Name | CLAUDINE P GRUVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-03641) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 009686) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2021-05-26 |