NPI | 1467115725 |
---|---|
Former Name | VICTORIA MEYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024187196) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 30180) |
Enumeration Date | 2021-10-14 |
Last Update Date | 2023-07-11 |