| NPI | 1104506427 |
|---|---|
| Other Name | VICTORY BRIGITTA PUTRI MAILANGKAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 825960) |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2023-08-18 |