| NPI | 1770593550 |
|---|---|
| Former Name | TRACI N GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 50591) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D67627) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-01-23 |