| NPI | 1740478551 |
|---|---|
| Former Name | INNA G TARASSOVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9180991) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL ARNP9180991) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9180991) | |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2022-08-11 |