| NPI | 1427225846 |
|---|---|
| Former Name | KETTY M VARGAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167836) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024167836) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5006092) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2017-01-13 |