| NPI | 1013490911 |
|---|---|
| Former Name | TANYATTA GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: SC 22205) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 22205) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2024-07-17 |