| NPI | 1457582470 | 
|---|---|
| Former Name | ELENA K GRANT | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA 154459)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 073744)  | 
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: GA 073744)  | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: DC MD040435)  | |
| Enumeration Date | 2009-08-07 | 
| Last Update Date | 2019-09-23 |