| NPI | 1811386345 | 
|---|---|
| Former Name | LINDSEY RENEE GRAFT | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 6108) | 
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IN 10001785A) | 
| Enumeration Date | 2015-01-21 | 
| Last Update Date | 2020-06-23 |