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 |