| NPI | 1790217024 |
|---|---|
| Former Name | VIRGINIA ANNE ZACHARY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006093) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95006093) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2019-01-02 |