NPI | 1003210493 |
---|---|
Former Name | VANESA FRANCIS ALTAVAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 847958) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001439) |
Enumeration Date | 2014-10-14 |
Last Update Date | 2024-06-06 |