| NPI | 1477027019 |
|---|---|
| Former Name | KATHRYN ANNE BELISLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP191236) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010858) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-12-02 |