NPI | 1477851830 |
---|---|
Former Name | JENNIFER ELIZABETH GRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AL 1-101314) |
Enumeration Date | 2011-03-09 |
Last Update Date | 2012-01-19 |