| NPI | 1396045258 |
|---|---|
| Former Name | MARY TERESA VICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3006655) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3006655) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11006518) | |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2022-10-06 |