| NPI | 1023273158 |
|---|---|
| Former Name | MARINA PETLAKH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD447178) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA 193673) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2022-08-04 |