| NPI | 1821589011 |
|---|---|
| Former Name | IRINA POLTORAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1823038241) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2024-09-06 |