NPI | 1841301033 |
---|---|
Former Name | CHERYL ROSE MARQUIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY f400986-1) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY f334897-1) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2015-05-20 |