| NPI | 1194307918 | 
|---|---|
| Other Name | VICKI MARIE HARTMAN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024181303) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024181303) | 
| Enumeration Date | 2021-04-21 | 
| Last Update Date | 2023-11-21 |