| NPI | 1205086733 |
|---|---|
| Former Name | MICHELLE MARIE LAVALLEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 048766) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC MD037405) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 48766) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101246055) | |
| Enumeration Date | 2008-09-20 |
| Last Update Date | 2022-06-23 |