| NPI | 1417161944 |
|---|---|
| Former Name | MARIYA O SUBBOTINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 73709) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 50265-20) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2023-04-07 |