NPI | 1336444264 |
---|---|
Former Name | DAWNA CHRISTINE GRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA RN089347-AP06314) |
Enumeration Date | 2011-01-25 |
Last Update Date | 2011-01-25 |