| NPI | 1851991616 |
|---|---|
| Former Name | ANNETA YURYUEVNA BABIKOVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 7644) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 1751390) |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-12-09 |