| 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 |