| NPI | 1699714386 |
|---|---|
| Former Name | IRENE JUDITH GRANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704177851) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MI 4704177851) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2012-11-19 |