Right, I'm the primary applicant. So according to this I better work on improving my CRS score with the IELTS test because I've read that candidates for the last draw for FSW had minimum 468 points...You are a physician and the primary applicant, correct? If so, FSW is your only option. You are in a licensed position so I assume you are getting your degree assessed through the Medical Council of Canada. PNPs are not an option because you are not licensed to practice in Canada. Many IMGs who immigrate never practice in Canada. @canuck78 can give advice too.
Thank you