| NPI | 1942457452 |
|---|---|
| Former Name | LORRAINE MARSHALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 336111) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 243406) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2014-01-10 |