| 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 |