| NPI | 1699257196 |
|---|---|
| Former Name | JANETTE SUZANNE STREET |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 22217) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 22217) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2024-10-01 |