| NPI | 1649517988 |
|---|---|
| Former Name | MARY GRANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP145671) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 17143) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2020-07-29 |