| NPI | 1992359038 |
|---|---|
| Former Name | GRACE MARIA JOHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11001847) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11001847) |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2024-07-01 |