Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 5012588 | NC |
NPI | 1033756531 |
---|---|
Provider Name | Draia Garavito |
First Address | Chapel Hill, NC 27514 |
Second Address | Chapel Hill, NC 27514-4221 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2019 |
Last Update Date | 03/12/2019 |