NPI | 1558745968 |
---|---|
Former Name | OLGA STRUEVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IA MD-44914) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-07-15 |
Last Update Date | 2021-08-19 |