| NPI | 1205861333 |
|---|---|
| Former Name | VANESSA T GENTRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024166926) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 15465) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2017-02-23 |