| 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 |