NPI | 1376672212 |
---|---|
Former Name | YELENA STEPANENKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-118999) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL PENDING) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2023-02-02 |