NPI | 1144369711 |
---|---|
Former Name | LORRAINE MARIE OUELLETTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024164330) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001169010) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2012-09-13 |