NPI | 1871738864 |
---|---|
Former Name | VICTORIA G DIMEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 18782) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 18782) |
163W00000X Registered Nurse (Licence: CA 702770) | |
Enumeration Date | 2008-12-05 |
Last Update Date | 2020-05-19 |