| NPI | 1750728226 |
|---|---|
| Former Name | JACQUELINE ELYSE DAIGLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2284774) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2284774) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2022-03-08 |