NPI | 1861497406 |
---|---|
Former Name | SHEILA K GRAYBEAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A099814) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209003266) |
Enumeration Date | 2005-06-20 |
Last Update Date | 2012-12-06 |