NPI | 1962786442 |
---|---|
Professional Name | JENNIFER ROSE VEGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024174215) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001211550) |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024174215) | |
Enumeration Date | 2011-10-03 |
Last Update Date | 2017-12-19 |