| NPI | 1588407928 |
|---|---|
| Former Name | LARISA KRIVOSHAPOVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95030451) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95030451) |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-08-06 |