| NPI | 1730366816 |
|---|---|
| Former Name | LORI MAILLOUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 253459) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01370) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2017-06-06 |