NPI | 1629466479 |
---|---|
Former Name | JENNIFER JOANNE HUGGANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001643) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 804422) |
Enumeration Date | 2015-01-02 |
Last Update Date | 2015-01-02 |