NPI | 1336623289 |
---|---|
Former Name | JENNIFER VETICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 115233) |
Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NE 71586) |
Enumeration Date | 2018-09-17 |
Last Update Date | 2024-03-12 |