NPI | 1891367702 |
---|---|
Former Name | KAYLA M LAFRENIERE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 11360-33) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 172555-30) |
Enumeration Date | 2021-07-12 |
Last Update Date | 2021-09-24 |