| NPI | 1588653695 |
|---|---|
| Former Name | VICKI A LEFEVERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71001372A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28129743A) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2014-06-12 |