| NPI | 1295047025 |
|---|---|
| Former Name | VICKIE W DANIELS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP1651662) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2010-07-09 |