| NPI | 1265429740 |
|---|---|
| Former Name | OLGA VLASOVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30007094) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00138242) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2007-07-08 |