| NPI | 1316960974 |
|---|---|
| Former Name | MICHELE DOROTHY SIMONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 401039) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F332325) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-03-12 |