| NPI | 1336796002 |
|---|---|
| Former Name | ERIN REGAN GRANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601010506) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 4741-23) |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2023-01-04 |