NPI | 1194027706 |
---|---|
Former Name | ALLISON HILARY GRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20497) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 39485) |
Enumeration Date | 2010-12-02 |
Last Update Date | 2020-03-09 |