| NPI | 1942399530 |
|---|---|
| Former Name | ELLA VIKTOROVNA AKSENOVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N7920) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN10075) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2012-03-21 |