NPI | 1174874853 |
---|---|
Former Name | KALLIOPE M. PSARADAKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11005147) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209-009770) |
Enumeration Date | 2012-09-21 |
Last Update Date | 2024-11-06 |