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 |