| NPI | 1336469550 |
|---|---|
| Former Name | REBECCA J GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 111098) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A139805) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2017-08-24 |