NPI | 1538819347 |
---|---|
Former Name | JAMIE DANIELLE MACPHERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95020723) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95035480) |
Enumeration Date | 2022-03-25 |
Last Update Date | 2022-06-01 |