| NPI | 1972533529 |
|---|---|
| Professional Name | THEODORA S PAINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 398871-1) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F302183-1) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2014-01-10 |