NPI | 1235520024 |
---|---|
Former Name | ANNA DYUKAREVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MI 5101025607) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 5151012793) |
208600000X Surgery (Licence: MI 5101021511) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-02-14 |
Last Update Date | 2021-04-13 |