| NPI | 1366778144 |
|---|---|
| Former Name | REBECCA SUE GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006742) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A03265ANP) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000014292) | |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2024-08-27 |