| NPI | 1992454920 |
|---|---|
| Former Name | TATYANA MAKHLINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 101-0135467) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 026.0120173) |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2023-06-20 |