| NPI | 1003102641 |
|---|---|
| Former Name | MARINA STAVCHANSKIY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2021-11-04 |