| NPI | 1447719976 |
|---|---|
| Former Name | RENEE GEOFFRION |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner Occupational Health (Licence: MA RN2301062) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: MA RN2301062) |
| 363LF0000X Nurse Practitioner Family (Licence: CT 8475) | |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-12-10 |