NPI | 1255788832 |
---|---|
Former Name | JACQUELINE PIERRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT APRN-175606) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: FL APRN9276314) |
Enumeration Date | 2016-05-24 |
Last Update Date | 2025-03-01 |