| NPI | 1932740297 |
|---|---|
| Former Name | JOSEFINA VICCAMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11022971) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL 9305687) |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2023-01-20 |