NPI | 1447447008 |
---|---|
Former Name | SUSAN GRANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: CT 001755) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 001755) |
Enumeration Date | 2007-09-27 |
Last Update Date | 2021-02-26 |