| NPI | 1376955856 |
|---|---|
| Former Name | JACQUELINE CHRISTINE ROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9308803) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9308803) |
| 163W00000X Registered Nurse (Licence: DC RN1014133) | |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2021-03-22 |