| NPI | 1922605435 |
|---|---|
| Former Name | VONETTA KENTIA NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN27711) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN161755) |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |