| NPI | 1841797842 |
|---|---|
| Other Name | IAN DOMINGO VICTORIO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9415884) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9415884) |
| Enumeration Date | 2018-04-07 |
| Last Update Date | 2024-10-24 |