NPI | 1669815957 |
---|---|
Former Name | CHRISTINA MICHELLE WRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024170041) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MI 4704234558) |
Enumeration Date | 2013-04-17 |
Last Update Date | 2023-03-16 |