NPI | 1104316876 |
---|---|
Former Name | VICTORIA SHERESHEVSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA OP61187913) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP61187913) |
207R00000X Internal Medicine (Licence: WA OP61187913) | |
Enumeration Date | 2018-05-17 |
Last Update Date | 2021-11-22 |