| NPI | 1629047592 |
|---|---|
| Former Name | JEANMARIE LOCKWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024105790) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD AC000498) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2018-01-08 |