| NPI | 1639715519 |
|---|---|
| Former Name | OLIVIA M MAXELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2363177) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI APRN02212) |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2026-06-11 |