NPI | 1467834929 |
---|---|
Former Name | SHERRYE FRADY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL 9319673) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP 9319673) |
363LG0600X Nurse Practitioner Gerontology (Licence: FL ARNP 9319673) | |
Enumeration Date | 2015-06-22 |
Last Update Date | 2021-10-25 |