NPI | 1467639880 |
---|---|
Former Name | NELLYA SHAMALOVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A107129) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 247416) |
Enumeration Date | 2008-01-28 |
Last Update Date | 2009-07-02 |