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 |