| NPI | 1073065355 |
|---|---|
| Former Name | VANESSA YOLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R274119) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MD A0001754) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 0126004338) | |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2025-08-12 |