| NPI | 1821234428 |
|---|---|
| Former Name | VICKI D BEVANDICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: OR 076036530RN) |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2009-01-02 |