NPI | 1255308292 |
---|---|
Former Name | VIKKI L DILLARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 55066) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2001008908) |
163W00000X Registered Nurse (Licence: KS 1373885015) | |
163W00000X Registered Nurse (Licence: KS 55066) | |
163WP0000X Registered Nurse, Pain Management (Licence: KS 55066) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2001008908) | |
Enumeration Date | 2006-03-08 |
Last Update Date | 2022-07-29 |