| NPI | 1013355312 |
|---|---|
| Former Name | LOREEN PHYLLIS CAROL FOURNIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: RI MD15513) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MI 4301115639) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: RI LP02868) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: RI CLP02868) | |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2021-06-03 |