| NPI | 1932422656 |
|---|---|
| Former Name | T Y WATKINS -POWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 095519) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5187717) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2015-03-13 |