NPI | 1013043835 |
---|---|
Former Name | JONNA WRAY GRAVES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WY 7914A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WY 7914A) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2019-03-22 |