| NPI | 1619468568 |
|---|---|
| Former Name | EMILY FAE DRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: IL 209.017632) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.369047) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209.017632) | |
| Enumeration Date | 2018-05-27 |
| Last Update Date | 2021-05-10 |