NPI | 1962965533 |
---|---|
Former Name | ANASTASIIA VOLODICHEVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME156704) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-04-10 |
Last Update Date | 2022-11-03 |