| NPI | 1811438393 |
|---|---|
| Former Name | LENA BAZHENOVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0062434) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO TL.0006407) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0006407) | |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2021-10-07 |