| NPI | 1427169978 |
|---|---|
| Former Name | AMY LYNN GAUTREAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP81178) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN45690) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-01-23 |