NPI | 1407298482 |
---|---|
Former Name | SARAH ANN GRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 068326-23) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 06832623) |
Enumeration Date | 2013-07-19 |
Last Update Date | 2018-11-28 |