NPI | 1881267375 |
---|---|
Other Name | IEVGENIIA HAMIDULLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0996567-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996567-NP) |
Enumeration Date | 2021-07-21 |
Last Update Date | 2023-11-03 |