| NPI | 1831659408 |
|---|---|
| Former Name | IRYNA ANATOLYEVNA KVACHYEVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95011397) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011397) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2021-05-26 |