| NPI | 1689176893 |
|---|---|
| Former Name | MARIE CAROLLE BEAUVAIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 1689176893) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9336470) |
| Enumeration Date | 2018-03-03 |
| Last Update Date | 2025-10-03 |