| NPI | 1689237430 |
|---|---|
| Former Name | MARIA IGOREVNA LYUKSYUTOVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: AR E-17864) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2024-07-16 |