| 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 |