NPI | 1801584891 |
---|---|
Former Name | EMILY WARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 2023059479) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TN 225733) |
Enumeration Date | 2023-04-27 |
Last Update Date | 2023-10-20 |