| NPI | 1265930127 |
|---|---|
| Former Name | VOLHA HLAVATSKAYA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IL 085006493) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-006493) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-04-25 |