| NPI | 1164801296 |
|---|---|
| Former Name | VICTORIA ASHLEY LIPPITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 001005837) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363A00000X Physician Assistant (Licence: FL PA9111921) | |
| 363A00000X Physician Assistant (Licence: PA MA058196) | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2021-12-01 |