NPI | 1073878427 |
---|---|
Former Name | PANAYIOTA MICHAEL AGAMEMNONOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3017265) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71005517A) |
363LF0000X Nurse Practitioner, Family (Licence: TN 16796) | |
367A00000X Advanced Practice Midwife (Licence: TN 16796) | |
Enumeration Date | 2012-07-11 |
Last Update Date | 2022-03-08 |