| NPI | 1306102272 |
|---|---|
| Former Name | ELIZABETH NICOLE GREWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OK 88857) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2013042564) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2013-12-03 |