| NPI | 1972078335 |
|---|---|
| Former Name | VICTORIA NICOLE IOAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-08131) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-08131) |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2019-09-05 |