NPI | 1932852548 |
---|---|
Former Name | GRACE M SALISBURY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71012237A) |
Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: IN 28223347A) |
Enumeration Date | 2022-02-02 |
Last Update Date | 2022-10-05 |