| NPI | 1730581257 |
|---|---|
| Former Name | VANESSA A CLOSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9118949) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 2175) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2024-08-15 |