| NPI | 1356589139 |
|---|---|
| Former Name | MARYBETH E GRACZYK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: OH NS-03374) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2009-02-02 |