| NPI | 1336400134 |
|---|---|
| Former Name | RONISHA GALE GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OK 6420) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OK 6420) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2019-06-28 |