| NPI | 1194211748 |
|---|---|
| Former Name | HEATHER GRAHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60867565) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 69887) |
| 363L00000X Nurse Practitioner (Licence: WA AP60867565) | |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2022-10-01 |