NPI | 1003938143 |
---|---|
Former Name | VIRGINIA HELEN JANSSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9496786) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 2977) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2023-01-23 |