NPI | 1790142644 |
---|---|
Former Name | SHEILA MARIE VIBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024173297) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024173297) |
Enumeration Date | 2016-01-23 |
Last Update Date | 2023-07-12 |