NPI | 1275626384 |
---|---|
Former Name | MARY E. GAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 7899) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 7899) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2017-10-30 |