NPI | 1992937502 |
---|---|
Former Name | KAREN ANNE GRAEVE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VA 0110003098) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110003098) |
Enumeration Date | 2009-08-14 |
Last Update Date | 2018-08-26 |