Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | C10006183 | DE |
NPI | 1790877678 |
---|---|
Provider Name | Dr. Karen W. Gripp |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 20/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10014573 | (05) | VA |
1749775 | (05) | PA |
7923503 | (05) | NJ |
8291004 | (05) | MD |
G93086 | (02) |