NPI | 1912383985 |
---|---|
Former Name | MIRANDA GRIFFEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO F06151472) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO F06151472) |
Enumeration Date | 2015-07-31 |
Last Update Date | 2020-08-12 |