NPI | 1679929095 |
---|---|
Former Name | MICHELLE ELANA MAROWITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F383384-01) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP017685) |
Enumeration Date | 2016-05-05 |
Last Update Date | 2024-06-26 |