| NPI | 1699172841 |
|---|---|
| Former Name | VLADISLAVA S ZVYAGILSKIY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP60846274) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A13085) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2021-05-12 |