NPI | 1699367755 |
---|---|
Former Name | OLGA Y LEBEDEVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010936A) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IN 28197564A) |
363L00000X Nurse Practitioner (Licence: IN 71010936A) | |
Enumeration Date | 2021-02-09 |
Last Update Date | 2024-05-21 |