| NPI | 1861760753 |
|---|---|
| Former Name | VICKY ANN VANDER HEIDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 167201-30) |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2011-12-06 |