NPI | 1366864241 |
---|---|
Former Name | SARAH LYNNE GRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0992206-NP) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95000221) |
Enumeration Date | 2014-01-13 |
Last Update Date | 2021-11-23 |