NPI | 1962949289 |
---|---|
Former Name | VANESSA HARTMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174432) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 21913) |
Enumeration Date | 2017-01-24 |
Last Update Date | 2024-07-15 |