| NPI | 1578677647 |
|---|---|
| Former Name | YULIA EFIMOVNA LISENKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD156099) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX N2421) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2021-06-29 |