NPI | 1235617887 |
---|---|
Former Name | STAVROULA MARIA EFSTATHIADIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA17409) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 022310) |
Enumeration Date | 2018-08-04 |
Last Update Date | 2024-02-13 |