| NPI | 1093322521 |
|---|---|
| Former Name | MADELEINE RENEE LOUGEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 33653) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 326684) |
| 363L00000X Nurse Practitioner (Licence: NC 5014982) | |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2023-04-18 |