NPI | 1598847501 |
---|---|
Former Name | VICTORIA HOMETCHKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9191804) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9191804) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 25561) | |
Enumeration Date | 2006-10-19 |
Last Update Date | 2024-01-19 |