NPI | 1215463658 |
---|---|
Former Name | ELENI MARMARELIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD4722705) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-05-04 |
Last Update Date | 2021-08-19 |