NPI | 1497935225 |
---|---|
Former Name | SILVANA ANDREA POLETAEV |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000502) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP011389) |
Enumeration Date | 2007-11-08 |
Last Update Date | 2023-01-18 |