NPI | 1477099661 |
---|---|
Former Name | MARGARETT ANN GRAHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25932) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1124257) |
Enumeration Date | 2017-01-11 |
Last Update Date | 2023-11-08 |