| NPI | 1770920597 |
|---|---|
| Former Name | ANASTASIA SERGEEVNA RODIONOVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: WA PA60351859) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-09-18 |