| NPI | 1679333579 |
|---|---|
| Former Name | DEANNA KATHRYN GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4017373) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1164519) |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2025-01-17 |