NPI | 1982164596 |
---|---|
Former Name | ELIZABETH EILEEN GRINTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: LA 217994) |
Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: LA RN143407) |
Enumeration Date | 2019-03-20 |
Last Update Date | 2021-04-27 |