| NPI | 1639541071 |
|---|---|
| Former Name | VIRGINIA ANNE ARCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5014351) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024173595) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: SC 19245) | |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2021-07-28 |