| NPI | 1386129724 |
|---|---|
| Former Name | HANNAH JOY GRAVITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 9059) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 8113) |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2022-01-18 |