| NPI | 1679858997 |
|---|---|
| Former Name | KATY GRAVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: KS 15-01486) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: KS 15-01486) |
| 363AM0700X Physician Assistant, Medical (Licence: NE 1697) | |
| 363AS0400X Physician Assistant, Surgical (Licence: NE 1697) | |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2013-05-22 |