| NPI | 1447693684 |
|---|---|
| Former Name | SHERYL LYNN IVEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201350047NP) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2020-12-08 |