NPI | 1184366643 |
---|---|
Professional Name | DEANNA JEAN VALDIVIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017659) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 3017659) |
Enumeration Date | 2022-04-13 |
Last Update Date | 2022-06-01 |