NPI | 1275015257 |
---|---|
Other Name | SHELLEY GRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC003800) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN 198783) |
171000000X Military Health Care Provider | |
Enumeration Date | 2018-09-05 |
Last Update Date | 2024-07-31 |