| NPI | 1912998931 |
|---|---|
| Former Name | VICKIE B CHIVERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 201068) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 201068) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2013-07-08 |