| NPI | 1225142722 |
|---|---|
| Former Name | SANDRA LYNN GRANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 616710) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP112706) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2016-07-26 |