| NPI | 1083313761 |
|---|---|
| Former Name | MISTY GRAVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 289235) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AZ RN151875) |
| 202D00000X Integrative Medicine (Licence: AZ 289235) | |
| 207Q00000X Family Medicine (Licence: AZ 289235) | |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2024-08-20 |