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 |