| NPI | 1174384929 |
|---|---|
| Former Name | BRETT ALEXANDRA GRANBERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 28376) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC MW8605808) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC MW8805597) | |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-07-25 |