| NPI | 1699242883 |
|---|---|
| Former Name | SVIJETLANA OBERKIRSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: 001008988) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-08988) |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2023-11-03 |