| NPI | 1265513980 |
|---|---|
| Former Name | SANDRA JEAN PARRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MI 4704147038) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-03-04 |