| NPI | 1033476437 |
|---|---|
| Former Name | CHRISTY LILLY XAYSANASONGKHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2276204) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2276204) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2025-01-17 |