| NPI | 1285091306 |
|---|---|
| Former Name | JULIE LEN FAIRLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID NP-1682A) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2020-02-12 |