NPI | 1851305981 |
---|---|
Former Name | VIVIAN RHODES / PENCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 3390) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI APRN-931) |
363LF0000X Nurse Practitioner, Family (Licence: CA 16175) | |
Enumeration Date | 2006-07-27 |
Last Update Date | 2013-06-24 |