| NPI | 1932241981 |
|---|---|
| Former Name | T. NICOLE GRIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R100906) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP008222) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP008222) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2025-02-23 |