NPI | 1275729329 |
---|---|
Former Name | VINESSA GAERLAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95024757) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 32841) |
Enumeration Date | 2007-09-22 |
Last Update Date | 2024-02-07 |