| NPI | 1598538241 |
|---|---|
| Former Name | SYDNEY HANNA FANNING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10018078) |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2025-09-30 |