| NPI | 1578123840 |
|---|---|
| Former Name | VICTORIA GHAHHARI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-14281) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 3248) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2025-07-22 |