NPI | 1003356809 |
---|---|
Former Name | ALLISON CHARETTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP171066) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN61438) |
Enumeration Date | 2017-02-28 |
Last Update Date | 2017-06-21 |