| NPI | 1992293690 |
|---|---|
| Former Name | ANASTASIYA TSYKUNOVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 238386) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4351045077) |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2019-06-19 |