NPI | 1861133746 |
---|---|
Former Name | SARAH A GRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F348505-01) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 348505) |
Enumeration Date | 2022-04-05 |
Last Update Date | 2024-04-25 |