| NPI | 1811251911 |
|---|---|
| Other Name | JIMMY LAFAILLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9183076) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9183076) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9183076) | |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2019-08-27 |