| NPI | 1255689543 |
|---|---|
| Former Name | LAURA L GRAVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209009741) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209009741) |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2018-12-19 |