NPI | 1487902284 |
---|---|
Former Name | LAURA MICHELLE SHIMBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN234376) |
Enumeration Date | 2012-08-27 |
Last Update Date | 2021-10-14 |