| NPI | 1326046145 |
|---|---|
| Former Name | ISABELLA D VASSILEVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2001-01150) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2001001150) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2022-07-21 |