| NPI | 1144337999 |
|---|---|
| Former Name | VICKIE J LIETNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3412-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R147070-7) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2018-11-01 |