NPI | 1154503845 |
---|---|
Former Name | MIMI FRANCES LEMAIRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT 22141) |
Enumeration Date | 2007-12-04 |
Last Update Date | 2008-02-04 |