NPI | 1972720415 |
---|---|
Former Name | MONIQUE A GREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 071236) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME98332) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2014-02-25 |