NPI | 1033466412 |
---|---|
Former Name | APRIL MARIE GRANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25291) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 107706) |
Enumeration Date | 2012-08-05 |
Last Update Date | 2021-11-17 |