NPI | 1578509378 |
---|---|
Former Name | VANESSA L IRBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK R0062587) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0062587) |
Enumeration Date | 2006-06-21 |
Last Update Date | 2016-02-10 |