| NPI | 1801036041 |
|---|---|
| Former Name | KELLY JEAN GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60076144) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LP00059279) |
| Enumeration Date | 2009-02-28 |
| Last Update Date | 2009-02-28 |