| NPI | 1538588926 |
|---|---|
| Former Name | ERIN DREW GRAHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 061698) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2014019548) |
| 122300000X Dentist (Licence: CO 204301) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2021-09-24 |