| NPI | 1467430454 |
|---|---|
| Former Name | ANN RENEE GRANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 05-28153) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA DO-04606) |
| 207Q00000X Family Medicine (Licence: OK 244) | |
| 207Q00000X Family Medicine (Licence: NM A-1847-14) | |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2023-03-07 |