| NPI | 1255156915 |
|---|---|
| Former Name | VICTORIA DEFIGLIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10034671) |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2024-11-18 |