| NPI | 1831506872 |
|---|---|
| Former Name | STACEY LABONTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ME CNP141069) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2022-12-13 |