| NPI | 1588380281 |
|---|---|
| Former Name | TATIANA RUDENKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS64087) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH240211) |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2022-10-13 |