| NPI | 1093794265 |
|---|---|
| Former Name | JULIE GRAVES MOY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX G5110) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D84791) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2025-12-13 |