| NPI | 1164652251 |
|---|---|
| Former Name | ELISA CHRISTINE NICOLAOU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P14293) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 031620) |
| 225100000X Physical Therapist (Licence: NC 14293) | |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2023-06-19 |