| NPI | 1114357563 |
|---|---|
| Other Name | JEANNE MARIE LARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 3008247) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2023-08-23 |