| NPI | 1154487338 |
|---|---|
| Former Name | MICHELLE MARIE LEGEYT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: MA 258877) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA 258877) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2018-06-12 |