| NPI | 1578926838 |
|---|---|
| Former Name | JULIA SERGEEVNA KAZAKOVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01082127A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL 140502) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2020-06-08 |