| NPI | 1679519573 |
|---|---|
| Former Name | LATAI EBRETTE GRANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN MD0000039391) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OK 42518) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2024-02-20 |