| NPI | 1275991309 |
|---|---|
| Former Name | FREEDOM LEE DEFELICE, BEVINGTON-PROCTOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 24909) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015911) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2023-06-04 |