| NPI | 1184887929 |
|---|---|
| Former Name | DARRALYN DELLICE BOHANAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN101904) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IN 27070140A) |
| 164W00000X Licensed Practical Nurse (Licence: IL 043080115) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2015-07-09 |