NPI | 1205162047 |
---|---|
Former Name | KATRINA S RAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006200) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3006200) |
Enumeration Date | 2009-10-29 |
Last Update Date | 2024-08-15 |