| NPI | 1639646631 |
|---|---|
| Former Name | VICTORIA N LUCAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: VA 0024176583) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024176583) |
| Enumeration Date | 2018-10-28 |
| Last Update Date | 2024-02-26 |