| NPI | 1992228928 |
|---|---|
| Former Name | ASHLEY REBECCA GROVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 9408) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024175125) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 902628) | |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2021-02-17 |