| NPI | 1376021485 |
|---|---|
| Former Name | SARAH ELIZABETH GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-11418) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0006964) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2022-01-10 |