NPI | 1922565738 |
---|---|
Former Name | DEBORAH WHITNEY RAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-153468) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-153468) |
163W00000X Registered Nurse (Licence: AL 1-153468) | |
Enumeration Date | 2019-02-28 |
Last Update Date | 2024-04-12 |