| NPI | 1043570997 |
|---|---|
| Other Name | AUGUSTA HAWA TUCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MD LP43064) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DC LPN1003906) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2012-05-25 |