| NPI | 1730132010 |
|---|---|
| Former Name | VICKI L WINTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: IA 2211) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: AZ 3385) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2015-08-28 |