| NPI | 1174866404 |
|---|---|
| Former Name | LUIZA BALABANYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 128046) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35128046) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2021-04-30 |