| NPI | 1780089284 |
|---|---|
| Former Name | JOANNA LEE PEERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 19325) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 196559) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2017-01-12 |