NPI | 1578947552 |
---|---|
Former Name | JESSICA MARIE VALKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP128333) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP128333) |
Enumeration Date | 2015-07-19 |
Last Update Date | 2023-04-11 |