NPI | 1366857872 |
---|---|
Former Name | AMY CHRISTINE LECUREUX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA1481) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2014-06-23 |
Last Update Date | 2020-01-08 |