| NPI | 1245810811 | 
|---|---|
| Former Name | ANNELIESE GREY | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1045611) | 
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: TX 892718) | 
| Enumeration Date | 2021-04-08 | 
| Last Update Date | 2022-03-22 |