| NPI | 1124289285 |
|---|---|
| Former Name | VICTORIA ASBURY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2014-01013) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN DO0000002241) |
| 207Q00000X Family Medicine (Licence: VA 0116020620) | |
| Enumeration Date | 2008-06-21 |
| Last Update Date | 2020-10-25 |