| NPI | 1609021070 |
|---|---|
| Former Name | LORRAINE CAROL DIERING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: KS 5374912121) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: CO 124986) |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2009-07-22 |