| NPI | 1992006670 |
|---|---|
| Former Name | MARY THERESE LEDESMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH1000X Registered Nurse, Hospice (Licence: WI 122238-030) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WI 122238-030) |
| 3747P1801X Technician, Personal Care Attendant (Licence: WI 122238-030) | |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2010-11-11 |