| NPI | 1598477374 |
|---|---|
| Former Name | VICTORIA TOMARAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209.026252) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.453173) |
| Enumeration Date | 2022-12-23 |
| Last Update Date | 2024-06-20 |