| NPI | 1629645106 |
|---|---|
| Former Name | LYDIA MICHELLE LEMMENES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11061-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 200913) |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2021-07-09 |