| NPI | 1750912622 |
|---|---|
| Former Name | JAMIE BEAULIEU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 8713) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 8713) |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2021-03-29 |