NPI | 1548607948 |
---|---|
Former Name | ABIGAIL FAIRLIE BRUCE CARVALHO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 23366) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 802370) |
171400000X Health & Wellness Coach | |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA 23366) | |
Enumeration Date | 2013-05-27 |
Last Update Date | 2022-06-16 |