| NPI | 1255895017 |
|---|---|
| Former Name | VICTORIA CULLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MS PA00419) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MS PA00419) |
| 363AS0400X Physician Assistant, Surgical (Licence: TN 3785) | |
| 363AM0700X Physician Assistant, Medical (Licence: TN 3785) | |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2024-04-17 |