NPI | 1972981975 |
---|---|
Former Name | OLGA BORODULIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0067029) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NV 18786) |
Enumeration Date | 2015-05-11 |
Last Update Date | 2021-08-04 |