| NPI | 1639412521 | 
|---|---|
| Former Name | CANDICE MARIE GRAHAM | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D83779) | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program | 
| Enumeration Date | 2013-03-29 | 
| Last Update Date | 2018-05-21 |