NPI | 1144670399 |
---|---|
Former Name | IRENE MARIA MICHAILIDES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA OS020802) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT017205) |
Enumeration Date | 2016-06-20 |
Last Update Date | 2021-05-25 |