| NPI | 1710333216 |
|---|---|
| Former Name | AMY MARIE CONSTANTINEAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95003900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95079299) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-06-20 |