| NPI | 1508497884 |
|---|---|
| Former Name | DARYA KORSHUKOVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL 9119743) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085009218) |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2025-03-19 |