NPI | 1053794677 |
---|---|
Former Name | ELISABETH KARAFOTIAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA5454) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MA 999999) |
Enumeration Date | 2015-07-01 |
Last Update Date | 2017-01-25 |