| NPI | 1235668849 | 
|---|---|
| Former Name | MARIA ANDREEVNA KOLMAKOVA | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A18799)  | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT017701)  | 
| Enumeration Date | 2017-06-07 | 
| Last Update Date | 2025-05-09 |