NPI | 1104846658 |
---|---|
Former Name | VALERIE A KENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT 100370) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MT 25407) |
363L00000X Nurse Practitioner (Licence: MT RN25407) | |
Enumeration Date | 2006-07-20 |
Last Update Date | 2022-07-21 |