| NPI | 1689690059 |
|---|---|
| Former Name | VICKIE JO DOLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 110777) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NE 110777) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NE 110777) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2023-08-21 |