NPI | 1386259695 |
---|---|
Former Name | ERIN JENKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95014821) |
Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: CA 813585) |
Enumeration Date | 2020-09-14 |
Last Update Date | 2023-05-08 |