| NPI | 1164514618 |
|---|---|
| Former Name | PATRICIA ANN GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.002347) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AZ 7473) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2021-11-06 |