NPI | 1336772235 |
---|---|
Former Name | MICHELLE LAMOURIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403126) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 686309) |
Enumeration Date | 2020-02-19 |
Last Update Date | 2020-10-26 |