NPI | 1760919534 |
---|---|
Former Name | VICTORA FAUGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A005151) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AR A005151) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2025-02-26 |