| 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 |