NPI | 1386690428 |
---|---|
Former Name | ALLA YURIEVNA GOLOVKINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101235934) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: DC MD034704) |
Enumeration Date | 2006-05-26 |
Last Update Date | 2018-07-02 |