| NPI | 1083018287 |
|---|---|
| Former Name | AMANDA A. GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0991418-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0991418) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2015-06-25 |