| 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 | 2022-02-04 |