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 |