NPI | 1629301106 |
---|---|
Former Name | VANESSA K. FARRIOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R868378) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MS R868378) |
Enumeration Date | 2009-09-15 |
Last Update Date | 2024-04-03 |