NPI | 1336272137 |
---|---|
Former Name | VICKIE LYNN LOWE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 363LX0106X Nurse Practitioner Occupational Health (Licence: CA 245959) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2015-04-15 |