| NPI | 1760539571 |
|---|---|
| Former Name | KIMBERLY ALLISON GRAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TN MD49810) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL MD.28868) |
| 208000000X Pediatrics (Licence: AL MD.28868) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TN MD49810) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TN 49810) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2023-05-10 |