NPI | 1801389572 |
---|---|
Former Name | VICTORIA A. MERONEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-15479) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA 308909) |
Enumeration Date | 2018-06-07 |
Last Update Date | 2025-08-14 |