NPI | 1831328616 |
---|---|
Professional Name | MARINA UDOWENKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A14136) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10034298) |
207QS0010X Family Medicine, Sports Medicine (Licence: TX P7996) | |
Enumeration Date | 2009-07-14 |
Last Update Date | 2021-12-10 |