NPI | 1568831287 |
---|---|
Former Name | JESSICA VECCHIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP128563) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX ap128563) |
Enumeration Date | 2015-09-23 |
Last Update Date | 2021-05-03 |