| 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 |