| NPI | 1750935151 | 
|---|---|
| Former Name | AMY CHRISTINE BOULAY | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: RI APRN02189) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 215137) | 
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02189) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MA 215137) | |
| Enumeration Date | 2019-07-25 | 
| Last Update Date | 2025-03-12 |