| NPI | 1659717825 |
|---|---|
| Former Name | JACQUELINE M FEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT 102930) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT 102929) |
| 163W00000X Registered Nurse (Licence: ME 63952) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP131090) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: ME CNP131090) | |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2020-09-17 |