NPI | 1326478595 |
---|---|
Former Name | ERIKA KAPPES ZAVYALOV |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0102204162) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 89292) |
Enumeration Date | 2013-11-25 |
Last Update Date | 2023-12-19 |