| NPI | 1609287846 | 
|---|---|
| Former Name | VANESSA MERVYN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A18775) | 
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CA 20A18775) | 
| Enumeration Date | 2014-05-09 | 
| Last Update Date | 2025-04-28 |