| NPI | 1073049706 |
|---|---|
| Former Name | WENDY FAIRALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60755101) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1046292) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2021-10-28 |