| NPI | 1639260243 |
|---|---|
| Former Name | ROSE CORINNE GRAHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NC 2010-01138) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2022-07-21 |