| NPI | 1184605834 |
|---|---|
| Former Name | JENNIFER MICHELLE CYR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 377-001592) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2024-11-22 |