| NPI | 1659336121 |
|---|---|
| Former Name | JAYNE L GRANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA VP006257G) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN519930L) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2021-02-01 |