NPI | 1437818499 |
---|---|
Former Name | LIOUDMILA, LUCY SAVAGE, SOLOSNIKOVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019279) |
Enumeration Date | 2021-12-16 |
Last Update Date | 2021-12-16 |