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 |