| NPI | 1376856278 |
|---|---|
| Former Name | VALERIE L KAVANAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71003295A) |
| Additional Taxonomies | 163WG0100X Registered Nurse Gastroenterology (Licence: IN 28098488) |
| 163W00000X Registered Nurse (Licence: IN 28098488) | |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2024-07-29 |