| NPI | 1255586293 |
|---|---|
| Former Name | JANE IVORY ERNSTTHAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 18361) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 651984) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2025-04-07 |