NPI | 1306856166 |
---|---|
Former Name | LITA C BAILLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME AP081328) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME R029543) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2011-10-27 |