NPI | 1588026892 |
---|---|
Former Name | KAREN JEAN GRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95004085) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 128303) |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP 2004061) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA NPF 2004026) | |
Enumeration Date | 2016-03-25 |
Last Update Date | 2023-05-30 |