NPI | 1679032072 |
---|---|
Former Name | MACKENZIE LABBE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11001616) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11001616) |
Enumeration Date | 2019-03-15 |
Last Update Date | 2022-07-18 |