| NPI | 1114438090 |
|---|---|
| Former Name | NATALYA ITSKOVICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 31468) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2017034692) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2022-05-02 |