| NPI | 1255941795 |
|---|---|
| Former Name | LINETTE MAE MAKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 10284) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02404) |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2023-08-04 |