| NPI | 1164667002 |
|---|---|
| Former Name | SANDRA LOUISE GRAYBEAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A106062) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A106062) |
| Enumeration Date | 2008-12-06 |
| Last Update Date | 2026-01-06 |