| NPI | 1801220413 |
|---|---|
| Former Name | RENE MAHEALANI SHEA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: HI 17638) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 219145) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2013-08-30 |