| NPI | 1104245679 |
|---|---|
| Former Name | VALERIE ROBIN WADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008213) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: KY 1055724) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2021-01-20 |