| NPI | 1619425808 |
|---|---|
| Former Name | MIREILLE JEAN-MARY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9326614) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ARNP9326614) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2024-06-12 |