| NPI | 1114332020 |
|---|---|
| Former Name | VICTORIA M BOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0008275) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VA 0110004619) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2024-03-07 |