| NPI | 1831152032 |
|---|---|
| Former Name | RETA L VINING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 200450030NP ANP PP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2011031615) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA 60081469) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 08652) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2016-08-16 |