| NPI | 1710217138 |
|---|---|
| Former Name | TINA M GRANGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024168648) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1011482) |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2015-08-31 |