NPI | 1932884640 |
---|---|
Former Name | CATHERINE ISKRENKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: PA OS024215) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT022776) |
Enumeration Date | 2023-06-20 |
Last Update Date | 2024-09-26 |