| NPI | 1093058828 |
|---|---|
| Former Name | MARINA KORKMAZSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: NJ 25MB10304800) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2018-09-25 |