| NPI | 1295222586 |
|---|---|
| Former Name | ZHANNA YURIEVNA DMITRIEVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 23697) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 23697) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2019-03-22 |