| NPI | 1457909764 |
|---|---|
| Former Name | TYARA MONIQUE MCCRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: SC 227211) |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |