NPI | 1972810760 |
---|---|
Former Name | MICHELLE MARIE BRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9233620) |
Additional Taxonomies | 364SE0003X Clinical Nurse Specialist, Emergency (Licence: FL APRN9233620) |
Enumeration Date | 2010-09-01 |
Last Update Date | 2024-07-03 |