| NPI | 1881844942 |
|---|---|
| Former Name | RUTH CONSTANCE GREMILLION |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP898842) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2013-09-19 |