| NPI | 1588762116 |
|---|---|
| Former Name | CARLA M GENEST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 003524) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT RN1947012) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-03-07 |