| NPI | 1851947931 |
|---|---|
| Former Name | ALLISON MARIE VAILLANCOURT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2295137) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2295137) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2020-10-30 |