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