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 |