NPI | 1669820601 |
---|---|
Former Name | FABIENNE A CHIRAC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2306543) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11030144) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1154434) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F405556-01) | |
Enumeration Date | 2016-06-01 |
Last Update Date | 2024-03-12 |