| NPI | 1497197453 |
|---|---|
| Former Name | VALERIE REBECCA BOOTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024171021) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001212690) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024171021) | |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2022-10-11 |