| 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 |