NPI | 1972085140 |
---|---|
Former Name | REGINA M GRIMALDI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP181221) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN67745) |
163W00000X Registered Nurse (Licence: MA RN2306087) | |
Enumeration Date | 2018-09-04 |
Last Update Date | 2023-03-29 |