| NPI | 1053790030 |
|---|---|
| Former Name | DIANE L GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN24397) |
| Enumeration Date | 2015-05-25 |
| Last Update Date | 2015-05-25 |