| NPI | 1447276886 |
|---|---|
| Former Name | DIANNE JEAN PELLETIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: ME AP081135) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME R025851) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2015-04-14 |