| NPI | 1902118979 |
|---|---|
| Former Name | OLGA V PAVLYUKOVETS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 23398) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 336329) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2021-02-01 |