NPI | 1114101201 |
---|---|
Other Name | JULIA N. MATVEEVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 39141) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-8244) |
Enumeration Date | 2007-12-25 |
Last Update Date | 2020-01-09 |