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 |