NPI | 1700264090 |
---|---|
Former Name | ANGIE VERRANEAULT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: CT 038592) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2015-05-07 |
Last Update Date | 2020-10-15 |