NPI | 1508347469 |
---|---|
Former Name | LAUREN MARIE DUPUIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: LA 309837) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA 309837) |
Enumeration Date | 2018-08-28 |
Last Update Date | 2024-04-26 |