| NPI | 1750589024 |
|---|---|
| Former Name | VICKY L POUCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2007013967) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2007013967) |
| 207Q00000X Family Medicine (Licence: MO 2007013987) | |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2022-12-16 |