| NPI | 1508953043 |
|---|---|
| Former Name | NONNA O TERESHONOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60011530) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA ML20008403) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2023-03-07 |