NPI | 1770069510 |
---|---|
Former Name | OLGA KHALIAPIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 67434) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-07-16 |
Last Update Date | 2021-08-13 |