| NPI | 1093020935 |
|---|---|
| Former Name | CAROL SACKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20004) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 670057) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2023-06-05 |