NPI | 1760816763 |
---|---|
Former Name | HEATHER MARGARET BRYAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP23596) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN807386) |
Enumeration Date | 2013-08-26 |
Last Update Date | 2015-04-12 |