NPI | 1669879714 |
---|---|
Former Name | CATHERINE MCAFEE LOGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001955) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 836520) |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024181279) | |
163W00000X Registered Nurse (Licence: VA 0024181279) | |
Enumeration Date | 2014-12-03 |
Last Update Date | 2022-03-21 |