| NPI | 1932533577 |
|---|---|
| Former Name | AMY CELESTE VICK-SHIVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 100202) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN169862) |
| Enumeration Date | 2013-08-31 |
| Last Update Date | 2014-10-22 |