NPI | 1801454632 |
---|---|
Former Name | IRINA NAGOVSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME155671) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-06-05 |
Last Update Date | 2022-07-26 |