| 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 |