NPI | 1356462048 |
---|---|
Former Name | WINNIFRED DEBBRA CROTEAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 11583) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 317876) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2023-03-07 |