NPI | 1417406026 |
---|---|
Former Name | MARIE CARLINE DESIR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9214680) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9214680) |
363LF0000X Nurse Practitioner, Family (Licence: FL 9214680) | |
Enumeration Date | 2016-09-23 |
Last Update Date | 2024-08-30 |