| NPI | 1932541190 |
|---|---|
| Former Name | LILJANA ETIENNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2259709) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2259709) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2023-12-20 |