NPI | 1144596784 |
---|---|
Former Name | LILIA F SHAMMASSOVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 51677) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-03-28 |
Last Update Date | 2018-12-11 |