| NPI | 1265077424 |
|---|---|
| Former Name | VANESSA M GODOY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209-020127) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-020127) |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2025-01-22 |