| NPI | 1568690329 |
|---|---|
| Former Name | KATHERINE LYNNE GRAHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 22010) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: MN 54943) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: MN 54943) | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2022-08-23 |