| NPI | 1417670449 |
|---|---|
| Former Name | MARIA RAVKATOVNA SULTANSHINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN252454) |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2022-09-23 |