NPI | 1730432899 |
---|---|
Former Name | MARCELLINE LAZARRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9350985) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9350985) |
Enumeration Date | 2012-10-25 |
Last Update Date | 2023-05-11 |