NPI | 1487272373 |
---|---|
Former Name | VANESSA QUADRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11020004) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2325833) |
Enumeration Date | 2020-07-08 |
Last Update Date | 2024-10-10 |