| NPI | 1770579450 |
|---|---|
| Former Name | SHERRY ANN BUCKLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN5939) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 66037) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2020-10-28 |