| NPI | 1619415361 |
|---|---|
| Former Name | PAMELA SUSAN GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9348211) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9348211) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2019-05-02 |