NPI | 1477535318 |
---|---|
Former Name | CAROLINE F GRAHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP007053) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP007053) |
Enumeration Date | 2005-11-16 |
Last Update Date | 2020-07-30 |