| NPI | 1669945747 |
|---|---|
| Former Name | MICHELIE ROSARIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11000869) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11000869) |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2023-03-10 |