| 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 |