| 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 |