| NPI | 1295053189 |
|---|---|
| Former Name | TRICIA BEVERIDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-974A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 21529A) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2015-12-08 |