| NPI | 1962089961 |
|---|---|
| Former Name | KAVANYA GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CO DR.0069107) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO TL.0008726) |
| 208D00000X General Practice (Licence: CO 0069107) | |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2022-11-16 |