| NPI | 1548816911 |
|---|---|
| Former Name | CHRISTINE TETREAULT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 8340) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 8340) |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-10-30 |