NPI | 1184782591 |
---|---|
Former Name | VALERIE ANN VINOVICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY17621) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 318581) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 5384) | |
Enumeration Date | 2006-12-05 |
Last Update Date | 2007-07-08 |