NPI | 1821323395 |
---|---|
Former Name | LORI ELLIOT MACHLUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00255000) |
Enumeration Date | 2009-10-16 |
Last Update Date | 2016-07-06 |