| NPI | 1215327077 |
|---|---|
| Former Name | VICTORIA E STANFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95001917) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 789828) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2016-04-27 |