| NPI | 1861684060 |
|---|---|
| Former Name | PAULETTE L BLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 217990) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AR R089759) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL RN 2868162) | |
| 363L00000X Nurse Practitioner (Licence: AR 217990) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 217990) | |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2022-09-06 |