| NPI | 1508681503 |
|---|---|
| Former Name | BRITTANY GRANGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 5021202) |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2024-12-06 |