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 |