| NPI | 1215225552 |
|---|---|
| Former Name | NINO BALANCHIVADZE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101274592) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 36560) |
| 207R00000X Internal Medicine (Licence: MI 4301117273) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2024-12-09 |