| NPI | 1336598812 |
|---|---|
| Former Name | YELENA SERGEEVNA MIRONOVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 66753) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 69136) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 1336598812) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2021-07-01 |