| NPI | 1740244458 |
|---|---|
| Former Name | TATYANA BOGOMAZOVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 812494) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30007033) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2016-02-03 |