NPI | 1891951547 |
---|---|
Former Name | JENE E GRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP117232) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 697258) |
Enumeration Date | 2008-08-01 |
Last Update Date | 2017-12-18 |