| NPI | 1962445981 |
|---|---|
| Former Name | CHRISTINE GRAHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-079387) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07600) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 3089432) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2021-03-01 |