| NPI | 1497190763 |
|---|---|
| Former Name | VANESSA CHRISTINA LANGSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 22807) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 790161) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2014-12-30 |