| NPI | 1700146289 |
|---|---|
| Former Name | TORIYANA MAKEBA PAYNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AZ lp050633) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI L2159216) |
| 164W00000X Licensed Practical Nurse (Licence: FL pn5191000) | |
| 164W00000X Licensed Practical Nurse (Licence: MI 4703108503) | |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2016-01-12 |