| NPI | 1174889216 |
|---|---|
| Former Name | MARIAN DIACHENKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: CT 001653) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-03 |