| NPI | 1003952029 |
|---|---|
| Former Name | ANNA BASKINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME120241) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 48308) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MD D0064199) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2019-07-29 |