NPI | 1245657725 |
---|---|
Former Name | POLINA ADVOLODKINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: AZ 65825) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207V00000X Obstetrics & Gynecology (Licence: GA 79629) | |
Enumeration Date | 2014-03-24 |
Last Update Date | 2022-10-26 |