| NPI | 1912184714 |
|---|---|
| Former Name | TA'NEKA C VADEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3005483) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3005483) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2017-01-26 |