| NPI | 1740544287 |
|---|---|
| Former Name | JEANIE VICKNAIR DELAUNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA ap06894) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN106424) |
| 363L00000X Nurse Practitioner (Licence: LA AP06894) | |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2019-10-18 |