| NPI | 1972068484 |
|---|---|
| Former Name | VANESSA POLRIES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ND R40252) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R40252) |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2022-10-14 |