| NPI | 1861990582 |
|---|---|
| Former Name | KATIE DIANE DUPUIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA RN2313978) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MA RN2313978) |
| Enumeration Date | 2018-01-28 |
| Last Update Date | 2020-02-20 |