| NPI | 1851861983 |
|---|---|
| Former Name | PAULINE ANN KUCZERA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 276768) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-12-02 |
| Last Update Date | 2018-12-02 |