| NPI | 1457906448 |
|---|---|
| Former Name | VICTORIA M PHELPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009211A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3014197) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2020-01-27 |