NPI | 1386707073 |
---|---|
Former Name | CAROL PIERRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 2679592) |
Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: FL 2679592) |
Enumeration Date | 2006-12-18 |
Last Update Date | 2020-01-17 |