| NPI | 1770834376 |
|---|---|
| Former Name | KRISTIN MARIE GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R218937) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD AC001546) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2017-02-07 |