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 | 2024-08-26 |