| NPI | 1043781818 |
|---|---|
| Former Name | KATELYN MARIE GRANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WY 47904) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2026-02-12 |