NPI | 1053798694 |
---|---|
Former Name | VALEIRE REED VESTAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5007616) |
Enumeration Date | 2015-05-04 |
Last Update Date | 2023-06-08 |