| NPI | 1669874376 |
|---|---|
| Former Name | VIKKI ALISHA VARISCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209016318) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IL 041354744) |
| 171000000X Military Health Care Provider (Licence: IL 209016318) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 041354744) | |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2024-08-11 |