| 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 |