NPI | 1285906651 |
---|---|
Former Name | VANESSA LYNN BOHN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: AZ RN114974) |
Additional Taxonomies | 163WL0100X Registered Nurse Lactation Consultant (Licence: AZ 10961014) |
Enumeration Date | 2012-02-01 |
Last Update Date | 2017-09-14 |