| NPI | 1124270772 |
|---|---|
| Former Name | BRENDA BERNIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MA 60806) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NH 012602-22) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2008-10-15 |