| NPI | 1699759134 |
|---|---|
| Former Name | VICKI BILES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201703861NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 17362) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2021-08-30 |