NPI | 1104237957 |
---|---|
Former Name | ALLA BABAKHINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309940) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 606337) |
Enumeration Date | 2014-05-14 |
Last Update Date | 2020-09-02 |