NPI | 1518104348 |
---|---|
Former Name | ELAINE F GRANGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN116530) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA RN116530NP) |
Enumeration Date | 2009-01-15 |
Last Update Date | 2015-10-30 |