NPI | 1063738938 |
---|---|
Other Name | CARLA STAHL GRAHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 4188) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC F4188) |
Enumeration Date | 2010-04-16 |
Last Update Date | 2019-02-14 |