| NPI | 1629525829 |
|---|---|
| Former Name | JESSICA TREMBLAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173578) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001236264) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2017-09-19 |