NPI | 1013083708 |
---|---|
Former Name | ANNE MARIE GRANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 070244) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 070244) |
Enumeration Date | 2006-11-27 |
Last Update Date | 2021-02-02 |