NPI | 1912010505 |
---|---|
Former Name | KIM A. LADUE-WEBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VT 1010013563) |
Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: VT 1010013563) |
Enumeration Date | 2006-08-16 |
Last Update Date | 2014-11-24 |