NPI | 1255340469 |
---|---|
Former Name | JENNIFER GANEM LAFOND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 037416-23) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 0374162308) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2014-11-10 |