NPI | 1023297629 |
---|---|
Former Name | ELENI ELIAS PAPPAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223D0004X Dentist Dentist Anesthesiologist (Licence: PA DS035882) |
Additional Taxonomies | 1223D0004X Dentist Dentist Anesthesiologist (Licence: OH 30022654) |
1223D0004X Dentist Dentist Anesthesiologist (Licence: SC 4447) | |
Enumeration Date | 2007-10-31 |
Last Update Date | 2021-11-11 |