| NPI | 1184264525 |
|---|---|
| Former Name | DEJA SHARI GRANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN282683) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013548) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2022-03-24 |