| NPI | 1912138280 |
|---|---|
| Former Name | AMELIA RAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP05936) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 2178) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA RN073583) | |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2014-12-23 |