| NPI | 1902235922 |
|---|---|
| Former Name | VANESSA ALICEA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171265) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001212924) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2021-12-07 |