| NPI | 1659578706 |
|---|---|
| Former Name | FLORETTE KIMBERLY GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A86052) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD431540) |
| 207ZP0213X Pathology, Pediatric Pathology (Licence: PA MD431540) | |
| 207ZP0213X Pathology, Pediatric Pathology (Licence: CA A86052) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2024-10-30 |