NPI | 1538824156 |
---|---|
Other Name | SASHA IAKIMENKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RT008192) |
Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: PA 0912212) |
Enumeration Date | 2021-11-08 |
Last Update Date | 2023-08-01 |