| NPI | 1386947950 |
|---|---|
| Former Name | DAYNA ROSALIE BURDICK-SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: OR 201030327LPN) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 127745) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2010-12-21 |