NPI | 1225097199 |
---|---|
Former Name | ALEEN M. BRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 15455.0172) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP000497) |
Enumeration Date | 2006-03-20 |
Last Update Date | 2007-07-16 |