| NPI | 1922284645 |
|---|---|
| Former Name | JOY ANNE VANDERWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX 1043911) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1043911) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2024-11-21 |