| NPI | 1912634627 |
|---|---|
| Former Name | NATALIE ROSE THERIOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71012786A) |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2022-09-06 |