| NPI | 1093249880 |
|---|---|
| Former Name | TRICIA GREGORY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174747) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024174747) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2022-02-05 |