NPI | 1891760641 |
---|---|
Former Name | MARIE L GRISEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP60619678) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60615437) |
Enumeration Date | 2006-02-22 |
Last Update Date | 2021-05-21 |