| NPI | 1093115057 |
|---|---|
| Former Name | DANIELA SHVETSOV |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MA PA6003) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 3166) |
| 363A00000X Physician Assistant (Licence: FL PA9113731) | |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2024-05-28 |