| NPI | 1093974057 |
|---|---|
| Former Name | TATIANA YAKOUSHINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX 43197) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 43197) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: FL 43197) | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2019-06-06 |