| NPI | 1184867202 |
|---|---|
| Other Name | JEANNE ELYSE GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME 106978) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10030078) |
| 207Q00000X Family Medicine (Licence: CT 79257) | |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2024-09-18 |