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 |