NPI | 1023520442 |
---|---|
Former Name | CHARIS JUANITA CYR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9344241) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9344241) |
Enumeration Date | 2017-10-25 |
Last Update Date | 2023-04-28 |