NPI | 1962882456 |
---|---|
Other Name | VANESSA M GUERRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 041.358995) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041.358995) |
Enumeration Date | 2015-06-01 |
Last Update Date | 2016-12-29 |