| NPI | 1710657986 |
|---|---|
| Former Name | BERNADETTE ANNE DANSEREAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY F403309-01) |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2021-09-17 |