| 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 |