| NPI | 1639133135 |
|---|---|
| Former Name | CONTESSA DIREAN GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 059893) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101238879) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: GA 59893) | |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: GA 59893) | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: GA 59893) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2023-06-09 |