| NPI | 1619925898 |
|---|---|
| Former Name | IRINE GURYANOVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 202946) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME 97170) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2008-03-19 |