| NPI | 1669693487 |
|---|---|
| Former Name | SVETLANA GAGIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301084200) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI L1123542) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2021-02-19 |