| NPI | 1346385051 |
|---|---|
| Former Name | MARCIE LYNNE TROUT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY F402159-1) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2022-07-21 |