NPI | 1679117808 |
---|---|
Former Name | CHRISTINE PERRAULT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2324899) |
Enumeration Date | 2019-10-31 |
Last Update Date | 2024-09-24 |