| NPI | 1114224391 |
|---|---|
| Former Name | VICTORIA LYN MOSCARDELLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036139890) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: TN 5942) |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2025-05-15 |