| NPI | 1780965947 |
|---|---|
| Former Name | VICTORIA GARGON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-02863) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C04589) |
| 363A00000X Physician Assistant (Licence: MO 2023049151) | |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2025-06-06 |