NPI | 1467589549 |
---|---|
Former Name | JAYAN LANDRY CONLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 156486) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2022-09-22 |