| 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 |