| NPI | 1083720502 |
|---|---|
| Former Name | NANCY LOUISE GAUTREAUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00449) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN24139) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-04-07 |