| NPI | 1588672224 |
|---|---|
| Former Name | JOY NATASHA GRAVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 8323) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS036088) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2015-05-14 |