NPI | 1205942216 |
---|---|
Former Name | LEANE SPRAGUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP81299) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME AP081299) |
Enumeration Date | 2006-08-22 |
Last Update Date | 2022-02-03 |