| NPI | 1770141277 |
|---|---|
| Former Name | NANCY ANASTASIA BOBRYSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB11440100) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT019057) |
| 207Q00000X Family Medicine (Licence: NY 316804-01) | |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2022-10-07 |