NPI | 1174711469 |
---|---|
Former Name | KAREN A FARVOUR |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3257) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 3257-33) |
Enumeration Date | 2007-10-11 |
Last Update Date | 2021-01-18 |