| NPI | 1013930197 |
|---|---|
| Former Name | SANDRA LEE VEDVICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60224794) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AK 5591) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2025-02-11 |