| NPI | 1336733120 |
|---|---|
| Former Name | SALLY BEARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010986A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28226105A) |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2022-10-05 |