NPI | 1780965947 |
---|---|
Former Name | VICTORIA GARGON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C04589) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2011-09-01 |
Last Update Date | 2020-08-17 |