| NPI | 1760676134 |
|---|---|
| Former Name | RENEE MARIE ARCHAMBAULT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0100X Registered Nurse, Gastroenterology (Licence: WA RN0015900) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |