| NPI | 1578172375 |
|---|---|
| Former Name | VICTORIA AKSELROD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME163814) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 76782-20) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2023-09-14 |