NPI | 1437478740 |
---|---|
Former Name | SONYA KAY GRANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR A03465) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AR R66879) |
Enumeration Date | 2010-05-26 |
Last Update Date | 2012-02-09 |