| NPI | 1659785939 |
|---|---|
| Other Name | OPAL BUCHANAN GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 2702051) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CT 30009) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-06-16 |