NPI | 1033515804 |
---|---|
Former Name | SARA MARIA GRAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001133) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 780614) |
Enumeration Date | 2014-11-06 |
Last Update Date | 2020-02-18 |