| NPI | 1598641177 |
|---|---|
| Former Name | LAURENTINE MAKENGNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 2025041978) |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2025-08-12 |