NPI | 1053679852 |
---|---|
Former Name | LYUDMILA E MIKHNO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA 60709743) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 282174) |
Enumeration Date | 2012-04-30 |
Last Update Date | 2019-11-06 |