NPI | 1093006439 |
---|---|
Former Name | MARINA ALEKSANDROVNA SHVARTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: SC 1651) |
Enumeration Date | 2011-04-19 |
Last Update Date | 2022-06-22 |