| NPI | 1609287846 |
|---|---|
| Former Name | VANESSA MERVYN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A18775) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 291090) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2021-08-30 |