| NPI | 1881041804 |
|---|---|
| Former Name | JOCELYN FERLAND THERIAULT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342982) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 20834) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2019-01-23 |