NPI | 1114639986 |
---|---|
Former Name | LARISA MYAKHKOV |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 4704320981) |
Enumeration Date | 2022-12-23 |
Last Update Date | 2022-12-23 |