NPI | 1386741072 |
---|---|
Former Name | JODY LOUISE FARREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: CA 22669) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085002183) |
Enumeration Date | 2006-09-17 |
Last Update Date | 2015-02-26 |