| NPI | 1063099547 |
|---|---|
| Former Name | MICHELLE DAYUJA LORENZO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MD R183748) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: MD R183748) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: MD R183748) | |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2021-06-19 |