| NPI | 1972984136 |
|---|---|
| Professional Name | JOANNA FAIRLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 281478) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS R781853) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MS R781853) | |
| Enumeration Date | 2015-06-13 |
| Last Update Date | 2022-10-04 |