| NPI | 1952499592 |
|---|---|
| Other Name | WINONA R MACKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: OK 18667) |
| Additional Taxonomies | 2085R0001X (Licence: OK 19328) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2012-02-08 |