| NPI | 1447655014 |
|---|---|
| Former Name | KSENIYA ALEKSANDROVNA LEVINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003550) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP141101) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2016-06-27 |