NPI | 1003678921 |
---|---|
Other Name | EDUASEVY LAURELLE VANBOKKLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11030675) |
Enumeration Date | 2024-01-25 |
Last Update Date | 2024-08-22 |