| NPI | 1548598543 |
|---|---|
| Former Name | THERESA LOUISE ALLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 223596-1) |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist (Licence: NY 223596-1) |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2009-12-02 |