| NPI | 1992409114 |
|---|---|
| Former Name | KASEY LYNNE GRANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 14170527-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 14170527-1205) |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2026-03-18 |