| NPI | 1093009748 |
|---|---|
| Former Name | VICTORIA SEUN DEBOISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME157280) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01086884A) |
| 208M00000X Hospitalist (Licence: IL 036147766) | |
| 207Q00000X Family Medicine (Licence: TX Q8646) | |
| Enumeration Date | 2011-05-30 |
| Last Update Date | 2024-07-02 |