| NPI | 1972773331 |
|---|---|
| Former Name | VICKIE LAWRENCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 084728) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60666117) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60666117) | |
| Enumeration Date | 2008-03-01 |
| Last Update Date | 2021-12-15 |