NPI | 1396568333 |
---|---|
Former Name | KERIAKI GENEVIEVE GEORGILAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP030993) |
Enumeration Date | 2024-11-07 |
Last Update Date | 2024-11-13 |