| NPI | 1326690819 |
|---|---|
| Former Name | ESTELLE MARIE AUTISSIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NY 431506) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 739695) |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2025-05-15 |