| NPI | 1306313531 |
|---|---|
| Other Name | KSENIYA ALEKSEYEVNA MYALIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 4444) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 2976) |
| 363A00000X Physician Assistant (Licence: IA 127741) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2025-01-09 |