| NPI | 1073699203 |
|---|---|
| Former Name | VIRGINIA DAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 110488) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 84049) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2012-02-01 |