| NPI | 1861926396 |
|---|---|
| Former Name | JACQUELINE M CRAIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7839-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 232951-30) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 4704297325) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 7839-33) | |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2019-12-31 |