| NPI | 1245688365 |
|---|---|
| Former Name | JULIE LAVALLEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP161050) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME CNP161050) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2020-02-14 |