| NPI | 1831165349 |
|---|---|
| Former Name | JOY MAE FAIR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024075667) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001075667) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2010-06-10 |