NPI | 1033846266 |
---|---|
Former Name | KERRY DENISE VAUGHN VALENTINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1086575) |
Enumeration Date | 2022-08-08 |
Last Update Date | 2024-12-03 |