| NPI | 1326561135 |
|---|---|
| Former Name | VIRGINIA DIANE DUCKWORTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 3-000465) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 902189) |
| 363L00000X Nurse Practitioner (Licence: AL 3-000465) | |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2024-05-21 |