NPI | 1649582727 |
---|---|
Former Name | HEATHER L GRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 68173) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 68173-20) |
207L00000X Anesthesiology (Licence: IL 036.135293) | |
Enumeration Date | 2010-07-06 |
Last Update Date | 2023-10-12 |