| 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 |