| NPI | 1114131000 |
|---|---|
| Former Name | ANNA OZERYANSKAYA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60268441) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50-001942) |
| 363AM0700X Physician Assistant, Medical (Licence: WA PA60268441) | |
| 363AS0400X Physician Assistant, Surgical (Licence: WA PA60268441) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2015-08-31 |