NPI | 1205167046 |
---|---|
Former Name | MAUREEN L GAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP8969) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP010677) |
Enumeration Date | 2010-01-19 |
Last Update Date | 2019-05-28 |