| NPI | 1164914529 |
|---|---|
| Former Name | ASHLEY MAE POULIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP181139) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN54109) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2023-06-30 |