| NPI | 1114068061 |
|---|---|
| Former Name | ELLEN M GRAYBILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP005993D) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP005993D) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-12-12 |