| NPI | 1497719702 |
|---|---|
| Former Name | JANET KAY FAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A01074) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R30315) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2007-07-08 |