| NPI | 1235161084 |
|---|---|
| Former Name | OLGA STORONKIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 003094) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 003094) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2017-03-20 |