| NPI | 1124237961 |
|---|---|
| Former Name | TARAYN ALESSANDRA GRIZZARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 067870) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2022-03-29 |