| NPI | 1831248384 |
|---|---|
| Former Name | PATRICIA JORDAN WEATHINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AZ LP036459) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN 176064) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2015-02-20 |