NPI | 1285982306 |
---|---|
Former Name | KAMEKA YVONNE GRAHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.15595-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 299832) |
Enumeration Date | 2012-08-21 |
Last Update Date | 2019-06-18 |