NPI | 1447542006 |
---|---|
Former Name | TATIANA NIKOLAEVNA FITISENKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35.128372) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2011-05-13 |
Last Update Date | 2022-06-07 |