| NPI | 1083326052 |
|---|---|
| Former Name | VICTORIA MARIE SAGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71013403A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28278076A) |
| Enumeration Date | 2022-12-21 |
| Last Update Date | 2022-12-21 |