NPI | 1669581609 |
---|---|
Former Name | AIMEE J FORTIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP04924) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA RN089706) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2011-03-09 |