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 |