NPI | 1891176079 |
---|---|
Former Name | WHITNEY GRIMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA09921) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2015-06-14 |
Last Update Date | 2023-01-28 |