| NPI | 1427786417 | 
|---|---|
| Former Name | VANESSA YVETTE DE LA TORRE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61342595) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61342595) | 
| Enumeration Date | 2022-08-09 | 
| Last Update Date | 2025-06-05 |