| NPI | 1669822847 |
|---|---|
| Former Name | PATRESHA LAVORGNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ 127955) |
| Additional Taxonomies | 3747A0650X Technician Attendant Care Provider (Licence: AZ RN 127955) |
| 374T00000X Religious Nonmedical Nursing Personnel (Licence: CA 631334) | |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-06-17 |