| NPI | 1831872993 |
|---|---|
| Former Name | CRISTINA FREDETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0136485) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 026.0038522) |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-09-07 |