NPI | 1275799371 |
---|---|
Other Name | PAULETTE LUCILLE GREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 322792) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D72675) |
207Q00000X Family Medicine (Licence: DC MD040755) | |
Enumeration Date | 2008-07-29 |
Last Update Date | 2024-10-20 |