| NPI | 1306159884 |
|---|---|
| Former Name | LOIS ANN TOLLIVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 151000) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: LA 212570) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2018-11-06 |