NPI | 1235566290 |
---|---|
Former Name | VANESSA L RICHARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA 60424953) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60424951) |
Enumeration Date | 2013-10-04 |
Last Update Date | 2020-06-28 |