| NPI | 1619177557 |
|---|---|
| Former Name | VIRGINIA SUE DAGGETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041.304192) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28191988A) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2017-01-23 |