| NPI | 1205028545 |
|---|---|
| Former Name | TONIA LYNN GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WA RN60176993) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2024-09-05 |