| NPI | 1649539487 |
|---|---|
| Former Name | CARRIE LESLIE GRAVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: WA MD60852457) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2022-03-15 |