| NPI | 1811267248 |
|---|---|
| Former Name | CLAIRE E GRAVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: MI 2601001247) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL AL 2717) |
| Enumeration Date | 2012-01-02 |
| Last Update Date | 2019-07-12 |