| NPI | 1356949093 |
|---|---|
| Former Name | NADEZHDA A DUDYREV |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-11-12 |