| NPI | 1013373141 |
|---|---|
| Former Name | INESSA PAVLOVNA CHERNISH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 2887) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TN 2887) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2021-12-30 |