| NPI | 1780083063 |
|---|---|
| Former Name | JOCELYN ERIN VAN VALKENBURG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN AG0214023) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R190252-1) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2020-11-10 |