| 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 |