| NPI | 1932765658 |
|---|---|
| Former Name | JENNIFER SUE GRAMLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA SP020401) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN656813) |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2023-04-17 |