| NPI | 1770471575 |
|---|---|
| Former Name | CHRISTINA LIRETTE CANCIENNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 241566) |
| Enumeration Date | 2025-06-27 |
| Last Update Date | 2025-06-27 |