| NPI | 1093257313 |
|---|---|
| Former Name | KAYLA GRANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 350187) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: NY 701890) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2022-08-18 |