| NPI | 1336541432 |
|---|---|
| Former Name | MARIA BELLOVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AK 105743) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2016-01-06 |