NPI | 1356673065 |
---|---|
Former Name | MICHELLE ELIZABETH GREAUX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 285832) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NY 046438) |
Enumeration Date | 2010-02-04 |
Last Update Date | 2018-03-17 |