| NPI | 1912928847 |
|---|---|
| Former Name | SUZANNE CHRISTINE GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA051476) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AS0400X Physician Assistant, Surgical (Licence: WA 10005060) | |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2022-07-21 |