| NPI | 1760460836 |
|---|---|
| Former Name | THERES ROSE DESLAURIERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 0742) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 088633 4) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2015-03-09 |