NPI | 1184879363 |
---|---|
Former Name | KATHRYN ALICE GRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID NP-907A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID NP-907A) |
Enumeration Date | 2008-12-01 |
Last Update Date | 2023-11-28 |