| NPI | 1821571118 |
|---|---|
| Former Name | YELENA YEREMENKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA55958) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0005957) |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2022-02-25 |