| 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 |