| NPI | 1710929237 | 
|---|---|
| Former Name | VIRGINIA PESCADER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP1658972)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP1658972)  | 
| Enumeration Date | 2006-06-11 | 
| Last Update Date | 2018-06-29 |