NPI | 1174089635 |
---|---|
Former Name | ELISE MARIE GUIDRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: LA 202109) |
Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: LA 202109) |
Enumeration Date | 2019-02-20 |
Last Update Date | 2025-09-05 |