| NPI | 1740414283 |
|---|---|
| Former Name | OLGA ALEXANDROVNA SHESTAKOVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 58411) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01091459A) |
| 207R00000X Internal Medicine (Licence: NJ 25MA09240300) | |
| 207R00000X Internal Medicine (Licence: OH 123645) | |
| 207R00000X Internal Medicine (Licence: KY 58411) | |
| 208M00000X Hospitalist (Licence: IN 01091459A) | |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2023-12-19 |