| NPI | 1750786638 |
|---|---|
| Former Name | ANNE NICHOLS GRANBERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382471) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 616266) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |