| NPI | 1609875061 |
|---|---|
| Other Name | STACY LYNN GRAYSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX H9518) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: TX H9518) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 5392438-1204) | |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2015-06-23 |