| NPI | 1962716746 |
|---|---|
| Former Name | FARRAH MARIE LAMOREUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ AP8550) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IA G-115089) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2023-03-01 |